HAPPI Health

Business Information

URL	www.happihealth.org
Congressional District	05
State/Country of Incorporation	AL, USA
Activation Date	2023-07-11
Initial Registration Date	2017-11-01
Entity Start Date	2017-06-25
Fiscal Year End Close Date	Dec 31

Service Classifications

NAICS Codes

621111

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	RAYMOND C ANDREWS II
Role	CEO
Address	813 FRANKLIN STREET, HUNTSVILLE, AL, 35801, 4311, USA
Title	ALTERNATE POC
Name	ANN KEPNER
Role	CHIEF OPERATING OFFICER
Address	813 FRANKLIN STREET, HUNTSVILLE, AL, 35801, USA

Government Business
Title	PRIMARY POC
Name	RAYMOND C ANDREWS II
Role	CEO
Address	813 FRANKLIN STREET, HUNTSVILLE, AL, 35801, 4311, USA
Title	ALTERNATE POC
Name	ANN KEPNER
Role	CHIEF OPERATING OFFICER
Address	813 FRANKLIN STREET, HUNTSVILLE, AL, 35801, USA

Past Performance
Title	PRIMARY POC
Name	ANGELIQUE A ANDREWS
Role	CMO
Address	813 FRANKLIN ST, HUNTSVILLE, AL, 35801, USA
Title	ALTERNATE POC
Name	ANN KEPNER
Role	CHIEF OPERATING OFFICER
Address	813 FRANKLIN STREET, HUNTSVILLE, AL, 35801, USA

Contacts

Phone	+1 256-519-3650
Fax	2565856713

Authorized person

Name	RAYMOND C ANDREWS II
Role	CEO
Phone	2565125505

Taxonomy

Taxonomy Code	207Q00000X - Family Medicine Physician
Is Primary	No
Taxonomy Code	208000000X - Pediatrics Physician
Is Primary	No
Taxonomy Code	261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary	Yes

Other Provider Identifiers

Issuer	HRSA NOTICE OF LOOK-ALIKE DESIGNATION
Number	LALCS33898
State	AL

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621498
Sponsor’s telephone number	2565193650
Plan sponsor’s address	813 FRANKLIN STREET SE, HUNTSVILLE, AL, 35801

Signature of

Role	Plan administrator
Date	2024-09-23
Name of individual signing	MICHELDA JOHNSON
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621498
Sponsor’s telephone number	2565193650
Plan sponsor’s address	813 FRANKLIN STREET SE, HUNTSVILLE, AL, 35801

Signature of

Role	Plan administrator
Date	2023-08-10
Name of individual signing	TABITHA BANKHEAD

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	2565193650
Plan sponsor’s address	813 FRANKLIN STREET SUITE B, HUNTSVILLE, AL, 35801

Signature of

Role	Plan administrator
Date	2022-06-29
Name of individual signing	ANN KEPNER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	2565193650
Plan sponsor’s address	813 FRANKLIN STREET SUITE B, HUNTSVILLE, AL, 35801

Signature of

Role	Plan administrator
Date	2021-09-28
Name of individual signing	ANN KEPNER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	2565193650
Plan sponsor’s address	813 FRANKLIN STREET SUITE B, HUNTSVILLE, AL, 35801

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	2565193650
Plan sponsor’s address	813 FRANKLIN STREET SUITE B, HUNTSVILLE, AL, 35801